Jonesboro Surgery Center, Llc in Jonesboro - Ambulatory Surgical
Jonesboro Surgery Center, Llc - NPI 1457379364
Jonesboro Surgery Center, Llc is a Ambulatory Surgical in Jonesboro, Arkansas. Jonesboro Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Jonesboro Surgery Center, Llc is 1457379364. The last update date is 2008-04-28.
Jonesboro Surgery Center, Llc's current location address is 623 E Matthews Ave, Jonesboro, Arkansas. You can contact this provider via phone number 8709348010. The mailing address for Jonesboro Surgery Center, Llc is 623 E Matthews Ave, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jonesboro Surgery Center, Llc |
|---|---|
| Address | 623 E Matthews Ave, Jonesboro, Arkansas |
| Phone Number | 8709348010 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Wheeler Jacqueline |
| Telephone Number | 8709348010 |
NPI Number Detail
| NPI Number | 1457379364 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 623 E Matthews Ave |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724013145 |
| Phone Number | 8709348010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | AR3943 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490005365 | RAILROAD MEDICARE | ||
| 11048 | AR | AR BLUE CROSS BLUE SHIELD | |
| 143775128 | AR | -- |
Post Comment/ Review Below
What is the Jonesboro Surgery Center, Llc's unique identification number?
The Jonesboro Surgery Center, Llc has been assigned the NPI (National Provider Identifier) Number 1457379364 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jonesboro Surgery Center, Llc is physically located?
The Jonesboro Surgery Center, Llc is physically situated at the following address: 623 E Matthews Ave, Jonesboro, AR, 724013145.
What is Jonesboro Surgery Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonesboro Surgery Center, Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date was the 1457379364 assigned to Jonesboro Surgery Center, Llc?
The Jonesboro Surgery Center, Llc was issued its 1457379364 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jonesboro Surgery Center, Llc most recently updated or revised?
The information pertaining to Jonesboro Surgery Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-28.